Quote from Nurcpou
I think that the clinical experience is very valuable in terms of future practice. Preceptors can't just wave away clinical by saying that you won't learn the "real deal" until you start to work. I saw complicated patients from the second day onward - now, I often run into situations and disease processes that I did not encounter during my clinical rotations, but I'm glad I got as much exposure and experience as I did. My preceptors were faculty for a residency program, so I got the benefit of learning from physicians who were passionate about teaching. If you have the opportunity, spend as many hours as possible in a county clinic or a location that serves low-income populations - it is quite rewarding work, the variety is interesting, and the staff are often eager for more help. Interjecting your plan as part of presenting the patient is an excellent idea, and maybe you'll get more feedback.
I agree. My best rotations ever were at VA and county hospitals. They will let you loose, and you come back with the assessment, diagnoses, and plan. If it's wrong, they'll just tell you why, but you had better have something written down.
To the OP: I think you should work up the pt as if you're the NP for the day, that way you can compare your diagnoses and plan to theirs. You never know, you may be on target, without them having taught you. Hang in there, it'll be okay.